Rapid mapping of schistosomiasis and other neglected tropical diseases in the context of integrated control programmes in Africa

Rapid mapping of schistosomiasis and other neglected tropical diseases in the context of integrated control programmes in Africa
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DOI:
10.1017/s0031182009005940
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发表时间:
2009-11-01
期刊:
影响因子:
2.4
通讯作者:
Utzinger, J.
Utzinger, J.
中科院分区:
医学2区
文献类型:
--
作者:
Brooker, S.;Kabatereine, N. B.;Utzinger, J.

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人们对控制血吸虫病和其他所谓被忽视的热带病的兴趣和承诺越来越大。用于控制的资源必然有限,因此必须采用能够迅速准确地查明和绘制高风险社区地图的评估方法,以便能够以明确的空间和具有成本效益的方式有针对性地采取干预措施。在这里,我们回顾了以下方面的进展:(1)利用现有的流行病学数据和最近基于气候的风险预测绘制非洲血吸虫病地图;(2)开发和使用发病率问卷,快速识别泌尿系统血吸虫病高危社区;(3)采用批次质量保证抽样技术,采用创新的基于抽样的方法进行肠道血吸虫病。经验也提出了其他NTDs,包括盘尾丝虫病,丝虫病和淋巴丝虫病的快速映射。同时针对多个NTD的综合快速绘图方法的未来方向进行了概述,包括开发综合调查工具的潜在挑战。随着疟疾防治工作的加强,绘制人体蠕虫感染地图的经验教训也可能与快速绘制疟疾地图有关。
There is growing interest and commitment to the control of schistosomiasis and other so-called neglected tropical diseases (NTDs). Resources for control are inevitably limited, necessitating assessment methods that can rapidly and accurately identify and map high-risk communities so that interventions can be targeted in a spatially-explicit and cost-effective manner. Here, we review progress made with (1) mapping schistosomiasis across Africa using available epidemiological data and, more recently, climate-based risk prediction; (2) the development and use of morbidity questionnaires for rapid identification of high-risk communities of urinary schistosomiasis; and (3) innovative sampling-based approaches for intestinal schistosomiasis, using the lot quality assurance sampling technique. Experiences are also presented for the rapid mapping of other NTDs, including onchocerciasis, loiasis and lymphatic filariasis. Future directions for an integrated rapid mapping approach targeting multiple NTDs simultaneously are Outlined, including potential challenges in developing an integrated survey tool. The lessons from the mapping of human helminth infections may also be relevant for the rapid mapping of malaria as its control efforts are intensified.